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General Information
Name of the Applicant
*
Business Name
*
Identity card
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Activity
*
Trade Name
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Date of incorporation
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City
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State/Province
*
Name of legal representative
*
Phone
*
Fax
Business Address
*
Storehose Address
*
Mailbox
Number of employees
*
Legal representative's marital status
*
Single
Married
Other
Spouse Name
Address
References
Banks
Commercials
Bank
*
Account
*
Company
*
Phone
*
Amount
*
Bank
*
Account
*
Company
*
Phone
*
Amount
*
Bank
Account
Company
*
Phone
*
Amount
*
Contacts
Buyer name
*
Buyer email
*
Name of the person responsible for payments to suppliers
*
person responsible for payments to suppliers´s email
*
Days of payment
*
hour
*
Method of payment
*
Check
Transfer
Bank
Retention´s delivey days
*